Ukukhulelwa amawele kukhuphukile eminyakeni yamuvas. Ngaphambi kokuba kube icala elilodwa kwabangu-100, futhi manje sekuyicala elilodwa kuma-80 futhi isibalo siyanda. Lokhu kungenxa, phakathi kwezinye izizathu, ekwandeni kokusetshenziswa kwamasu okuzala kanye neminyaka yokukhula komama (kusukela eminyakeni engama-35 kunethuba elikhulu lokukhulelwa amawele). Uma lokhu kuyicala lakho futhi ulindele amawele noma amawele, kuzokulungela ukuthi ufunde lokhu okuthunyelwe ukwazi konke kufanele wazi ngokuzalwa kwamawele.
Kuyini ukuzalwa kwamawele futhi yiziphi izingozi?
Ukuzalwa kwamawele yilokho okwenzeka lapho ukhulelwe izingane ezi-2. Zingaba ngamawele afanayo (okuyilapho iqanda elilodwa lihlukana kabili) noma amawele (amaqanda amabili avundiswa isidoda esihlukile). Ungabona okuningi ngalokhu kokuthunyelwe kwethu "Ukukhulelwa kwamawele noma amawele".
Ukudiliva okuningi kunezingozi eziphakeme kunokulethwa enganeni eyodwa. Imvamisa kungukulethwa ngaphambi kwesikhathi, imvamisa kuhlala cishe amasonto angama-35-37 kuphela ngenkathi ukukhulelwa okujwayelekile kufinyelela emasontweni angama-40. Kungakho-ke isibeletho singeke sandise okunye ngezingane ezimbili ngaphakathi. Izingane ezizalwe ngaphambi kwesikhathi azikakhuli ngokuphelele, ngakho-ke kuzoba nengozi kuye ngesonto lokukhulelwa. Imvamisa zizophela ngemuva kokubeletha ku-incubator.
La preeclampsia futhi kuyingozi ngesikhathi sokukhulelwa, okuyi imvamisa ikhona ngesikhathi sokukhulelwa okuningi. Kuyadingeka ukwenza ukulandela ukulawula lezi zici zobungozi.
Ukukhulelwa amawele kuyinto ehlukile futhi ethokozisayo, kepha futhi kuletha ukungabaza nokwesaba okuningi. Ukwazi ukuthi ukuzala kuzoba njani, uma kuzolimaza kakhulu, uma ungazalwa ngokwemvelo… lokhu kungukungabaza okuvamile kowesifazane okhulelwe amawele.
Lulethwa kanjani iwele?
Isikhathi sokubeletha yisikhathi esethusa omama abaningi, ikakhulukazi uma kunezingane ezingaphezu kweyodwa endleleni. Ingozi yokuthi bazofika kusenesikhathi nokuthi isikhathi sokubeletha sizobanjani, yinto ekhathaza omama abaningi bakusasa.
Udokotela wakho uzoba owokuqala ukuphendula konke ukungabaza kwakho ngesikhathi sokubeletha. Uma kunokwenzeka kuwe zama i- ukulethwa kwesitho sangasese sowesifazane noma kufanele kube ngokwesigaba sokuhlinzwa (kungacishe kwenzeke). Uma zombili zibhekise ikhanda phansi, kungalethwa ukulethwa kwesitho sangasese sowesifazane. Uma bobabili breech, kuzokwenziwa isigaba sokuhlinzwa. Uma omunye ebheke phansi kanti omunye upholile, uma lowo okufanele azalwe kuqala ebheke phansi, kungazanywa ukulethwa kwesitho sangasese sowesifazane. Uma kungenjalo, kuzoba ngokwesigaba sokuhlinzwa. Kunezinye izingqinamba ezinganquma ukuthi kwenziwa ngokwesigaba sokuhlinzwa noma ngabe ziza kuqala, Kuzoba ngudokotela wakho ozonquma ukuthi yini ekufanele kakhulu.
Ukuzalwa kwamawele esithweni sangasese
Uma kungokulethwa kwesitho sangasese sowesifazane, lapho kuqala ukubeletha bazokuxhumanisa nomqaphi wombungu ukulawula isimo sezingane. Ukufinywa kuzoba kukhulu kakhulu futhi kube njalo, kanti i- isigaba sokujula ngokuvamile sihamba kancane kunokukhulelwa kwengane eyodwa. Lokhu kuzokunika isikhathi esithe xaxa ngaphambi kokuya esibhedlela. Woza kancane kodwa ngokuqinisekile.
Lapho usuvulwe ngamasentimitha angaba ngu-4, bazobeka i-epidural kuwe, uma kungekho lutho olungakuphikisa. Ngizoba udokotela noma umbelethisi ozokutshela ukuthi kufanele uphushe nini. Njenge- izingane ezingamawele zivame ukuba zincane kunokukhulelwa okukodwa, isigaba sokuxoshwa ngokuvamile kulula. Owokuqala kuzoba ngumfowethu omdala. Uzokwazi ukuwagona ngokushesha nje lapho bezalwa ukwenza isikhumba esikhunjeni.
Ngemuva kokubeletha, ukulethwa kwe-placenta akukho. Kukhulelwe kaningi ingozi eyengeziwe yokopha ngakho-ke kufanele ubuke kahle ukuze ulawule. Uma izingane zakho zinesisindo esingaphansi kwamakhilogremu ayi-2,5 kuzodingeka zichithe izinsuku ezimbalwa ku-incubator ukuze zithole isisindo. Uma kungukulethwa ngokuhlinzwa, ungenza futhi isikhumba ngesikhumba ngemuva kokubeletha. Kuzofanele wenze ukuphumula okuningi njengokululama.
Kungani ukhumbula ... ukukhulelwa amawele kuyinjabulo ephindwe kabili. Jabulela lo mzuzu okhethekile.